Individual
DAVIDA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6812 MADDOX RD, MORROW, GA 30260-3223
(678) 612-8493
Mailing address
PO BOX 90515, ATLANTA, GA 30364-0515
(678) 612-8493
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008207
GA
Other
Enumeration date
03/12/2014
Last updated
04/07/2014
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